$Unique_ID{PAR00122} $Pretitle{} $Title{Medical Advice: Moles} $Subtitle{} $Author{ Editors of Consumer Guide Chasnoff, Ira J} $Subject{Moles protruding skin growth growths bleeding crusting color changing mole noncancerous pigmented nevus cancerous malignant cosmetic removal electrocautery acids dry ice liquid nitrogen} $Log{} Your Child: A Medical Guide Moles Quick Reference SYMPTOM - Flat, dome-shaped, or protruding skin growths that can be up to a half-inch long and vary in color HOME CARE - If a mole requires treatment of any kind, it will be necessary to see a doctor. PRECAUTIONS - A doctor should see any mole that is bleeding, crusting, changing color, or growing rapidly. A doctor should also be consulted if a mole has been partly removed by accident or if the color is extending into the surrounding skin. - Most moles are noncancerous. However, a type of mole known as a pigmented nevus can become cancerous; this mole (unlike other types) is present at birth and is dark in color and very large. - Moles cannot be safely removed with electrocautery, acids, dry ice, or liquid nitrogen. If removal is necessary, it must be performed, with a scalpel, by a doctor. - No child is completely free of moles. Some children have hundreds of them. Moles are benign (noncancerous) growths on the skin. They can be flat, dome-shaped, or protruding. They vary in color from tan or brown to blue or black, and in size from one-sixteenth to one-half inch or larger. Moles are rarely present at birth; they develop during childhood. No child is totally free of moles, and some children have hundreds of them. It is very unlikely that any mole will become cancerous (malignant). However, one exception to this statement is a type of mole called a pigmented nevus. This mole, which is present at birth, is extremely large (several inches wide) and dark. SIGNS AND SYMPTOMS Moles are easily recognizable, but if the doctor is in any doubt about a growth on the skin, a laboratory examination of part of the growth may be necessary. Examination of an entire mole under the microscope may be needed. HOME CARE If a mole requires any kind of treatment, it must be medical, not home, care. PRECAUTION - A mole should be seen by a doctor if it has been partly removed by accident; if it is bleeding, crusting, changing color, or growing rapidly; or if the pigment (color) is moving into the surrounding skin. MEDICAL TREATMENT If removal of a mole is necessary (or desired for cosmetic reasons), it must be performed by a doctor. Any pigmented nevus probably should be removed surgically because of the possibility of malignancy. Surgical excision (complete removal with a scalpel) will leave a scar of some sort. Moles cannot be safely removed by a procedure called electrocautery or with the use of acids, dry ice, or liquid nitrogen.